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Sigmoidoscopy with biopsy

CPT 45331 · negotiated-rate distribution across hospitals in WI

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Hospitals
35
Min
$218.84
Median
$1,096.05
Max
$6,159.00
Range multiplier
28.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2373$65.52$2,462.00$7,350.00112.2×
Anthem BCBS2056$65.52$1,183.00$6,159.0094.0×
wisconsin physician service1236$2,115.00$2,226.00$2,226.001.1×
common ground1236$1,492.00$1,492.00$2,250.001.5×
Medicare1432$79.29$885.29$1,401.0017.7×
Molina1823$867.13$1,825.00$1,952.572.3×
VA Health1122$876.48$885.29$926.481.1×
Cigna1315$98.56$3,500.00$3,500.0035.5×
smart health714$1,239.41$1,239.41$1,297.071.0×
Humana613$68.80$1,096.05$1,096.0515.9×
trilogy1212$2,340.00$2,340.00$2,340.001.0×
Aetna1212$1,894.00$1,894.00$1,894.001.0×
aurora caregiver1212$2,250.00$2,250.00$2,250.001.0×
centivo1212$1,967.00$1,967.00$1,967.001.0×
hs technology1212$2,138.00$2,138.00$2,138.001.0×
everpointe elite1212$1,291.00$1,291.00$1,291.001.0×
quartz one1212$1,670.00$1,670.00$1,670.001.0×
quartz group1212$1,950.00$1,950.00$1,950.001.0×
health payment systems1212$2,300.00$2,300.00$2,300.001.0×
Blue Cross Blue Shield411$51.83$515.43$3,937.0076.0×
aspirus18$65.52$154.00$880.6413.4×
wps77$928.17$928.17$928.171.0×
network health plan57$114.17$867.13$3,257.5628.5×
Medicaid26$85.35$862.30$2,329.5527.3×
medica [900156]35$582.73$1,676.46$3,340.715.7×
prevea 36015$65.52$448.80$880.6413.4×
First Health35$586.30$1,686.74$3,366.905.7×
security health plan24$105.60$211.20$867.138.2×
WellCare24$920.30$920.30$920.301.0×
smarthealth24$1,227.07$1,227.07$1,227.071.0×
alliance33$900.80$900.80$900.801.0×
mercy care13$123.20$184.80$308.002.5×
healthpartners [900713]33$1,471.61$2,134.06$2,600.091.8×
ma wisconsin replacement [950271]23$715.00$2,057.00$2,429.003.4×
icare22$867.13$898.50$929.871.1×
illinicare12$65.52$473.08$880.6413.4×
meridiancare12$68.80$474.72$880.6412.8×
centivo nw322$1,002.49$1,002.49$1,002.491.0×
unitedhealth group of wi12$869.04$2,196.02$3,523.004.1×
centivo nw122$1,002.49$1,002.49$1,002.491.0×
cchp22$378.24$378.24$378.241.0×
community care incorporated11$867.13$867.13$867.131.0×
health partners open network11$140.92$140.92$140.921.0×
veteran's administration (va ccn)11$869.04$869.04$869.041.0×
medical associates health plan11$217.53$217.53$217.531.0×
allwell11$884.47$884.47$884.471.0×
managed health services11$869.04$869.04$869.041.0×
group health cooperative of eau claire11$921.18$921.18$921.181.0×
quartz11$869.04$869.04$869.041.0×
health partners11$867.13$867.13$867.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Columbia St Marys OzaukeeMequonWI7$1,893.00$1,003.29$114.17$998.43$1,952.57
Ascension Columbia St Marys MilwaukeMilwaukeeWI7$114.17$998.43$1,952.57
Wheaton Franciscan Healthcare - AllRacineWI4$926.48$926.48$1,297.07
All Saints - St. Luke S HospitalRacineWI4$926.48$926.48$1,297.07
Ascension Se Wisconsin Hospital IncMilwaukeeWI4$885.29$885.29$1,239.41
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI4$885.29$885.29$1,239.41
MoshFranklinWI4$885.29$885.29$1,239.41
Wheaton Franciscan - FranklinFranklinWI4$885.29$885.29$1,239.41
Wfhc - Elmbrook MemorialBrookfieldWI4$885.29$885.29$1,239.41
Mercy Medical CenterOshkoshWI9$75.04$876.48$1,840.61
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$75.04$876.48$1,840.61
Holy Family Memorial IncManitowocWI10$867.13$875.80$4,793.00
Beaver Dam Community HospitalsBeaver DamWI11$869.04$869.04$5,571.00
Westfields HospitalNew RichmondWI8$2,057.00$1,081.98$51.83$817.04$2,329.55
Childrens Hospital Of Wi-Fox ValleyNeenahWI2$5,749.00$6,159.00$7,350.00
Ssh - Fox ValleyOshkoshWI2$5,749.00$6,159.00$7,350.00
Childrens WisconsinMilwaukeeWI2$5,749.00$6,159.00$7,350.00
Aurora Lakeland Medical CenterElkhornWI15$1,183.00$2,226.00$3,500.00
Meriter Hospital Inc.MadisonWI13$880.00$704.00$65.52$218.84$3,937.00
Aurora Medical Center - Bay AreaMarinetteWI15$1,291.00$2,126.50$3,500.00
Aurora Medical Center Of OshkoshOshkoshWI15$1,183.00$2,115.00$3,500.00
Memorial Hospital Of BurlingtonBurlingtonWI15$1,183.00$2,115.00$3,500.00
Aurora Medical Center - SummitSummitWI15$1,183.00$2,115.00$3,500.00
Aurora Medical Center GraftonGraftonWI15$1,183.00$2,115.00$3,500.00
Aurora Health Care Metro Inc.MilwaukeeWI15$1,183.00$2,115.00$3,500.00
Aurora Medical Center - HartfordHartfordWI15$1,183.00$2,115.00$3,500.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI15$1,183.00$2,115.00$3,500.00
West Allis Memorial HospitalWest AllisWI15$1,183.00$2,115.00$3,500.00
Aurora Medical Center KenoshaKenoshaWI15$1,183.00$2,115.00$3,500.00
Sheboygan Memorial HospitalSheboyganWI15$1,183.00$2,115.00$3,500.00
Hudson HospitalHudsonWI8$2,429.00$1,095.72$515.43$1,182.74$2,695.00
Ascension Sacred Heart RehabilitatioMilwaukeeWI4$1,893.00$1,003.29$114.17$1,096.05$1,096.05
Amery Regional Medical CenterAmeryWI6$3,741.00$1,950.56$51.83$1,008.95$3,627.27
University Of Wi Hospitals & ClinicsMadisonWI0$3,579.00$2,147.40
Uw Health Rehabilitation HospitalMadisonWI0$3,579.00$2,147.40

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.